Alexander Blank, PA-C - Medicare Physician Assistant in Chicago, IL

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Alexander Blank, PA-C is a medicare enrolled "Physician Assistant" in Chicago, Illinois. His current practice location is 111 W Washington St Ste 1801, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 695-8106.

Alexander Blank is licensed to practice in Illinois (license number 085007989) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356961015.

Contact Information

Alexander Blank, PA-C
111 W Washington St Ste 1801,
Chicago, IL 60602-3430
(312) 695-8106
(312) 694-1340

Map and Direction




Provider's Profile

Full NameAlexander Blank
GenderMale
SpecialityPhysician Assistant
Location111 W Washington St Ste 1801, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356961015
  • Provider Enumeration Date: 04/23/2020
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668885211
  • Enrollment ID: I20201229000537

Medical Identifiers

Medical identifiers for Alexander Blank such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356961015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085007989 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexander Blank allows following entities to bill medicare on his behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameEndeavor Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NamePhysicians Immediate Care North Chicago LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205814118
PECOS PAC ID: 8729064159
Enrollment ID: O20040626000381
Entity NameNorthshore Dermatology Center SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841315884
PECOS PAC ID: 5092807321
Enrollment ID: O20070816000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexander Blank is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexander Blank, PA-C
111 W Washington St Ste 1801,
Chicago, IL 60602-3430

Ph: (312) 695-8106		Alexander Blank, PA-C
111 W Washington St Ste 1801,
Chicago, IL 60602-3430

Ph: (312) 695-8106

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.